USRN Utilization Managment Nurses | Taguig | income 85K:
Hiring Customer Service and BPO Jobs for Various Accounts DAY & NIGHT SHIFT / TELECOM, FINANCIAL, Information technology / HELPDESK, TECHNICAL SUPPORT, HEALTHCARE, SALES, EMAIL / CHAT SUPPORT, HOTEL/TRAVEL RESERVATION, BILINGUAL & BACK OFFICE POSITIONS
USRN with Active License
» Performs Utilization Management (UM) reviews in conformity with U.S. State/Federal and other mandated regulations.
» Maintains compliance with regulatory changes affecting UM.
» Reviews UM requests for services against established clinical review criteria, referring cases not meeting criteria to a physician reviewer or prescribed escalation protocol.
» Releases UM determinations to claim stakeholders following client-established protocols.
» Maintains all required UM review documentation in the UM software in a timely manner.
» Serves as first level contact for customer concerns pertaining to UM reviews.
USRN - Utilization Management Nurses
income P85,000 plus Signing Bonus
» Holder of Active USRN License from any Mainland State
» With 1 year utilization management practice gained from working in the BPO industry or any US healthcare company
» Willing to work on night shift - rotational weekends off
» Above average English proficiency
» Must be residents of Greater Metro Manila area (provincial candidates outside of Metro Manila, Laguna, Cavite, Rizal and Bulacan will not be considered)
. Customer Service / BPO / Call CenterHealthcare / Medical
. College or Bachelor's Degree Graduate
. 55,000 and Above
. Shift Allowance, Nightshift Differential, Performance Incentives, SSS/Philhealth/HDMF Benefits, HMO
. Metro Manila
. Permanent (Full time)
Total Years practice
. 1 year
practice in Call Center BPO
. 1 year